KEVIN F CLARKE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

CLARKE

Business Name

KEVIN F CLARKE

Original Issue Date

06/07/2002

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2025